From FAST to FAST BEE - Video-Based Stroke Mnemonic Pilot

Traditional stroke-recognition campaigns commonly teach the FAST mnemonic (Face, Arm, Speech, Time to call emergency services). While FAST captures frequent stroke presentations, it may not highlight symptoms that can occur in posterior circulation strokes, such as sudden imbalance (ataxia/vertigo) or visual disturbance (blurred vision/double vision). The FAST BEE mnemonic (Face, Arm, Speech, Time, Balance, Eyes, Emergency) was developed by the World Stroke Organization Prehospital Care Task Force to address this gap by adding Balance and Eyes checks and reinforcing emergency action.

This study is an educational, minimal-risk evaluation using an ultra-brief (1 minute 51 seconds) animated FAST BEE video embedded in an online survey to standardise exposure and assess immediate learning outcomes. The study is conducted via institutional Google Forms as an online-only activity.

Inclusion criteria

Adults (aged ≥18)who are able to give consent.

Ability to view and understand the video (in English) and complete the online

Minors (<18 years, >13 years) only if accompanied by documented parental/guardian consent and child assent, in accordance with ICMR guidelines.

Exclusion criteria

Declines participation or exits before completing the survey.

Duplicate or blank submissions: responses with identical timestamps/data or >50% missing primary endpoint items will be removed.

For minors: lack of parental consent or child assent.